20. NASYA VIDHI – नस्य विधि NASAL MEDICATION

20. NASYA VIDHI – नस्य विधि NASAL MEDICATION

NASYA-

उर्ध्वजत्रुविकारेषु विशेषान्नस्यमिष्यते

नासा हि शिरसो द्वारं तेन तद्व्याप्य हन्ति तान्

·      Nasal medication is especially described for the treatment of diseases of the parts above the shoulders;

·      Nose is the gateway for the head, spreading through this, the nasal medication reaches all the parts of the head and neck and cures the diseases.

TRIVIDHA NASYA – THREE KINDS OF NASAL MEDICATION:-

विरेचनं बृंहणं च शमनं च त्रिधा अपि तत्

Nasya treatment is of three kinds –
1. Virechana Nasya – purgatory
2. Brimhana Nasya – nourishing and
3. Shamana – Palliative,

A.       VIRECHANA / SHODHANA NASYA 

Nasya –

विरेचनं शिरः शूलजाड्यस्यन्दगलामये

        शोफगण्डकृमिग्रन्थिकुष्ठापस्मारपीनसे

·        It does purification.

·         It expels the Doshas of head and neck out of the body.

·        It is useful in
 

·      Shirashoola – headache,

·      Jadya – loss of movement of the head,

·      heaviness,

·      Stiffness

·      Syanda – eye diseases

·      Galamaya – diseases of the throat,

·      Shopha – swelling,

·      Ganda – enlargement of glands,

·      Krumi – worm infestation

·      Granthi – tumour, fibroid

·      Kushta – skin diseases

·      Apasmara – Epilepsy and

·      Peenasa – rhinitis

यथास्वं यौगिकैः स्नेहैर्यथास्वं च प्रसाधितैः

कल्कक्वाथादिभिश्चाद्यं मधुपट्वासवैरपि

·        is by the use of fats – (oils and ghee),

·        suitable to the diseases and

·        processed with appropriate drugs,

·        in the form of Paste, decoction etc. and

·        mixed with honey, salt and Asava (fermented infusion).

BRIMHANA NASYA  – NOURISHING TYPE OF NASYA TREATMENT

बृंहणं वातजे शूले सुर्यावर्ते स्वरक्षये

नासास्यशोषे वाक्सङ्गे कृच्छ्रबोधे अवबाहुके

is required for

a.     Vataja Shula – headache of Vata origin,

b.     Suryavarta – Headache that increases by the day

c.      Svarakshaya – loss of voice,

d.      Nasa, Asya Shosha – emaciated – dryness of the nose and mouth,

e.      Vak Sangha – Difficulty to speak

f.      Krichra bodha – difficulty in opening of eyes and

g.      Apabahuka- difficulty of movement of the Arm.

बृंहणं धन्वमांसोत्थरसासृक्खपुरैरपि

Brimhana Nasya is by

1.   the use of juice of meat or

2. blood of animals of desert- like lands,

   mixed with Khapura –

·      plant extracts,

·      resin,

·      Gums etc.

SHAMANA NASYA – PALLIATIVE NASAL MEDICATION

शमनं नीलिकाव्यङ्गकेशदोषाक्षिराजिषु

is required in

·          Neelika – blue patches on the skin,

·         Vyanga – discolored patch on face

·         diseases of the hair and of the eyes

शमनं योजयेत्पूर्वैः क्षीरेण सलिलेन वा

Shamana Nasya is by the use of

1.   juice of meat,

2.  blood

3.  milk

4.  or even water

 ANYA NASYA PRAKARAH – OTHER KINDS OF NASAL MEDICATION :-

मर्शश्च प्रतिमर्शश्च द्विधा स्नेहो अत्र मात्रया

कल्काद्यैः अवपीडस्तु स तीक्ष्णैः मूर्धविरेचनैः

·            Marsha and Pratimarsha are the two subdivisions of sneha nasya- nasal medication with fat material based on the quantity –of fats used.

·            Avapeeda

·        is from paste (Kalka),

·       fresh juice,

·        decoction and

·        it is a strong purgation to the head.

ध्मानं विरेचनश्चूर्णो युञ्ज्यात्तं मुखवायुना 

Dhmana is in the form of powder- to be blown into the nose and is a purgative.

षडङ्गुलद्विमुखया नाड्या भेषजगर्भया

स हि भूरितरं दोषं चूर्णत्वादपकर्षति

1.    It is administered by blowing it inside with the help of air from the mouth,

2.  the power held in a tube of six Angula in length,

3.  having opening at both its end.

4.  It pulls out the greatly imbalanced Doshas because it is in the form of powder.

NASYA MATRA – QUANTITY OF NASAL DROPS:-

प्रदेशिन्यङ्गुलीपर्वद्वयान्मग्नसमुद्धृतात्

यावत्पतत्यसौ बिन्दुर्दशाष्टौ षट् क्रमेण ते

मर्शस्योत्कृष्टमध्योना मात्रास्ता एव च क्रमात्

बिन्दुद्वयोनाः कल्कादेः

·            The amount of liquid that drops after immersing two digits of the index finger in any liquid and taking the finger out forms one bindu- 1 drop.

·            10, 8 and 6 such drops are the maximum, moderate and minimum doses, respectively of Marsha Nasya (oil / fat medication).

·            In respect of Paste (Kalka), fresh juice, decoction the doses are less by two bindu.

·      i.e. maximum, medium and minimum does of Avapidaka kind of nasya are 8,4 and 6 drops respectively.

NASYA ANARHAH – PERSONS UNSUITABLE TO NASAL MEDICATION :-

योजयेन्न तु नावनम्

तोयमद्यगरस्नेहपीतानां पातुमिच्छताम्

भुक्तभक्तशिरःस्नातस्नातुकामस्रुतासृजाम्

नवपीनसवेगार्तसूतिकाश्वासकासिनाम्

शुद्धानां दत्तबस्तीनां तथा अनार्तवदुर्दिने

अन्यत्रात्ययिकाद्व्याधेः

Nasal medication should not be administered to persons

1.   Who have just then consumed

·      water,

·       wine,

·       artificial poison (Garavisha – chronic poisoning) and

·       fat (as part of Snehana therapy)

·       or who wish to consume them, soon,

2.  who have taken food just then,

3. who have already taken bath or who desire to take bath-soon,

4. who  have had blood letting therapy- or severe bleeding due to other causes,

5. who are having acute rhinitis,

6. Who are getting natural urges of the body;

7. the woman who has recently delivered,

8.  patients of dyspnoea, COPD, Asthma and cough,

9. those who have undergone purification (Panchakarma) therapies (Vamana and Virechana)

10.  who have been given Basti treatment – just then,

11. at unsuitable seasons and

12.                on Sunless cloudy days except in emergency  during diseases.

NASYA KALA – TIME OF NASAL MEDICATION

अथ नस्यं प्रयोजयेत्

प्रातः श्लेष्मणि, मध्याह्ने पित्ते, सायंनिशोश्चले

स्वस्थवृत्ते तु पूर्वाह्ने शरत्कालवसन्तयोः

शीते मध्यं दिने ग्रीष्मे सायं वर्षासु सातपे

वाताभिभूते शिरसि हिध्मायामपतानके

मन्यास्तम्भे स्वरभ्रंशे सायं प्रातः दिने दिने

Nasal medication should be administered in

A.       morning for Shleshma – increase of Kapha,

B.         during midday for pitta,

C.         in the evening or night for the healthy.

D.         During Sharath (Autumn) and Vasantha (Spring), it should be given in forenoon.

E.         During winter, it should be given in midday.

F.        Evenings in Grisma –summer,

G.        when there is sunlight during Varsha- rainy season.

H.        It should be done both in evening and morning daily in the following diseases.

·           Vataja shiroroga – diseases of the head caused by Vata,

·           Hicca – Hiccup,

·           Ayama – tetanus,

·           Apatanaka ­- Convulsive disorders,

·           Manyasthambha – stiffness of the neck, and

·           Svarakshaya – hoarseness of voice,

एकाहान्तरं अन्यत्र सप्ताहं च तदाचरेत्

In other diseases,

·      it should be done on every alternative days for a week.

 NASYA VIDHI – PROCEDURE OF MEDICATION :-

स्निग्धस्विन्नोत्तमाङ्गस्य प्रक्कृतावश्यकस्य च

निवातशयनस्थस्य जत्रूर्ध्वं स्वेदयेत् पुनः

अथोत्तानर्जुदेहस्य पाणिपादे प्रसारिते

किञ्चितुन्नतपादस्य किञ्चिन्मूर्द्धनि नामिते

नासापुटं पिधायैकं पर्यायेण निषेचयेत्

उष्णाम्बुतप्तं भैषज्यं प्रणाड्या पिचुना अथवा

दत्ते पादतलस्कन्धहस्तकर्णादि मर्दयेत्

शनैरुच्छिद्य निष्ठीवेत्पार्श्वयोरुभयोस्ततः

आभेषजक्षयादेवं द्विस्त्रिर्वा नस्यमाचरेत्

1.   The head of the person who has attended to this essential activities –

o  elimination of urine and faeces,

o  washing of the teeth and mouth etc. earlier,

§  should be massaged with oil and given fomentation (mild sweating).

2.  He should then be made to lie – on a cot in a room devoid of breeze,

3.  the parts above his shoulders should be given fomentation (mild sweating) once again,

4.  He is made to lie straight with his face upwards, extending his arms and legs,

5.  the medicine slightly warmed with the help of hot water,

6.  should be taken either in a tube or soaked in a piece of cloth,

7.  and instilled into each nostril alternately, keeping the other one closed.

8.   After instilling, his soles, neck, palms, ears etc. should be massaged- mildly,

9.  he should then turn to his sides and

10.  spit out till the entire medicine comes out.

In this manner two or three nasal medications should be administered to him.

मूर्च्छायां शीततोयेन सिञ्चेत्परिहरन् शिरः

If he goes unconscious,

·      cold water should be sprinkled over the face, avoiding head.

SNEHA NASYA- NASAL  MEDICATION WITH FAT MATERIALS:-

स्नेहं विरेचनस्यान्ते दद्याद्दोषाद्यपेक्षया

Nasal medication with fat material should be given

·      at the end of purgative Nasal medications, in consideration of the Doshas etc.

नस्यान्ते वाक्शतं तिष्ठेदुत्तानः धारयेत्ततः

धूमं पीत्वा कवोष्णाम्बुकवलान् कण्ठशुद्धये

After medication is completed,

·        the patient should lie with face upwards,

·        for a period of uttering one hundred syllables (for 100 seconds),

·        Then he should inhale smoke of medicated herbs and

·        gargle the month with lukewarm water many times to cleanse the throat.

SYMPTOMS OF GOOD SNEHA NASYA (WITH OIL OR GHEE) – 

सम्यक्स्निग्धे सुखोच्छ्वास स्वप्नबोधाक्षपाटवम्

 (remember that Marsha and Pratimarsha are the two types of Sneha nasya)

1.  Sukha Uchvasa – Expiration without difficulty,

2.               Sukha swapna – sleep

3.               Sukha bodha – easy awakening from sleep and

4.               Akshapatava – keenness of sense organs
             are the signs of lubricating nasal therapy properly done.

SYMPTOMS OF INADEQUATE SNEHA NASYA (WITH OIL OR GHEE) – 

रूक्षे अक्षिस्तब्धता शोषो नासास्ये मूर्धशून्यता 

1.   Akshi stabdhata – Loss of  movement of the eyes,

2.  Shosha Nasa asye – emaciation, dryness of the nose and mouth

3.  Murdha shunyata – feeling of emptiness inside the head
            are the signs of dryness- or inadequate Lubrication.

SYMPTOMS OF EXCESS SNEHA NASYA –

स्निग्धे अति कण्डूगुरुताप्रसेकारुचिपीनसाः

1.   Kandu – Itching

2. Guruta – feeling of heaviness of the head,

3.  Praseka – excess salivation,

4.  Aruchi – anorexia

5.  Peenasa – rhinitis
              are signs of excess of Lubrications therapy.

SYMPTOMS OF GOOD VIRECHANA (PURGATION) NASYA THERAPY -

सुविरिक्ता अक्षिलघुतावक्त्रस्वरविशुद्धयः

दुर्विरिक्ते गदोद्रेकः, क्षामता अतिविरेचिते

1.    akshikaghuta – lightness of the eyes,

2. vaktra swara vishuddhi – clean mouth and clear voice;

INADEQUATE VIRECHANA NASYA (PURGATIVE THERAPY )

·            causes exacerbation of the diseases and

·            excess therapy leads to emaciation.

PRATIMARSHA NASYA:-

प्रतिमर्शः क्षतक्षामबालवृद्धसुखात्मसु

प्रयोज्यो अकालवर्षे अपि न त्विष्टो दुष्टपीनसे

मद्यपीते अबलश्रोत्रे कृमिदूषितमूर्द्धनि

उत्क्लिष्टोत्क्लिष्टदोषे च, हीनमात्रतया हि सः

·           Pratimarsha Nasya is a type of oil / fat Nasya.

·            Here the dose is very low.

·             Hence, it is indicated in wide variety of diseases.
It can be administered to

·       Kshata – wounded,

·        Kshaama – the emaciated,

·        Baala – the children,

·        Vruddha – the aged and

·        Sukhaatma – those who lead a happy conservative life;

it can be administered

·        even during unsuitable time, season, day etc.

·      It can also be administered during rainy season.

CONTRA INDICATION FOR PRATIMARSHA NASYA – 

It is not suitable in

·         Dushta Peenasa – infective Rhinitis,

·          Madyapeeta – those who has have drunk wine,

·          Abalashrota – People with low ears- low hearing capacity

·          Krumidushita Murdha – head  infested with worms,

·          utklishta Dosha – in  whom, in the Doshas are greatly imbalanced and moving from place to place;

In these conditions, it is not suitable  because it is of less quantity

PRATIMARSHA KALA – TIME TO ADMINISTERED PRATIMARSHA NASYA –

निशाहर्भुक्त्वान्ताहः स्वप्नाध्वश्रमरेतसाम्

शिरो अभ्यञ्जन गण्डूष प्रस्राव अञ्जन वर्चसाम् 

दन्तकाष्ठस्य हासस्य योज्यो अन्ते असौ द्विबिन्दुक:

It is to be administered

1.    at the end of the night,

2. Day

3. Meal

4. Vomiting

5. Day sleep

6. Long distance walk

7. Fatigue copulation

8.  oil bath over head

9. Gandusha (gargling)

10.          Micturition

11.Application of collyrium

12.          Defecation

13.          Use of tooth brush

14.          Bouts of laughing

                      its dose is two Bindu- 2 drops.

पञ्चसु स्रोतसां शुद्धिः , क्लमनाशस्त्रिषु क्रमात्

दृग्बलं पञ्चसु, ततो दन्तदार्ढ्यं मरुच्छमः

A.               In the first 5 conditions

·      Pratimarsha cleanses, clears the channels,

B.  In the next 3  

·      It relieves fatigue,

C.  In the next 5

·      It improves eye sight,

D.  In the next 1

·      It bestows sturdiness to the teeth and

E.  In the last 1

·      It mitigates the Vata.

KRIYA NISIDDHA VAYAS – UNSUITABLE AGE FOR THERAPIES -

न नस्यमूनसप्ताब्दे नातीताशीतिवत्सरे

न चोनाष्टादशे धूमः, कवला नोनपञ्चमे

न शुद्धिरूनदशमे न चान्तिक्रान्तसप्ततौ

Nasya should not be administered

1.    to those who are less seven years and

2. more than 80 years of age;

Dhuma- inhalation of smoke of drugs should not be administered

1.    for children below 18 years;

Kavala- mouth gargling should not be administered

1.    for children below five years;

Shodhana – purification (Panchakarma) therapies like Vamana, Virechana etc. should not be administered

1.    below 10 years

2.  and above 70 years of age.

PRATIMARSHA GUNAS 

आजन्ममरणं शस्तः प्रतिमर्शस्तु बस्तिवत्

मर्शावच्च गुणान् कुर्यात्स हि नित्योपसेवनात्

न चात्र यन्त्रणा नापि व्यापद्भयो मर्शवद्भयम्

kind of nasal medication

1.    is good from birth to death just like basti treatment.

2.  It provides the benefits like Marsha Nasya (oil, high dose if used daily,

3.  it does not need any control – regarding food and activities

4. nor it has any risks like Marsha Nasya.

तैलमेव च नस्यार्थे नित्याभ्यासेन शस्यते

शिरस: श्लेष्मधामत्वात् स्नेहा: स्वस्थस्य नेतरे

Medicated oil only is ideal for daily use of Nasya (Pratimarsha), because

·        the head is the dwelling place of kapha

·        and no fat other than oil, can keep it healthy

आशुकृच्चिरकारित्वं गुणोत्कर्षापकृष्टता

मर्शं च प्रतिमर्शं च विशेषो न भवेद्यादि

को मर्शं सपरीहारं सापदं च भजेत्ततः

अच्छपानविचाराख्यौ कुटीवातातपस्थिती

अन्वासामात्राबस्ती च तद्वदेव विनिर्दिशेत्

1.   Immediate and delayed action,

2.  more and less benefits

           are the results of Marsha and Pratimarsa respectively.

If there is no difference between then, who will resort to marsha which is associated with controls – regarding food and activities and risks?

In the same way,

·      Acchapana – drinking of pure fat alone and

·      Vicharana- intake of fat mixed with foods etc.

Similar is the case of

·      Kuti Pravesika – one kind of rejuvenation therapy where the person needs to stay in a house for weeks together, taking Chyawanprash etc. and

·      Vatatapika- Rejuvenation treatment, wherein patient can do his routine work.

Similar is the case of

·      Anuvasana – fat enema and

·      Matra basti – fat enema with very little oil

ANU TAILA –medicated oil for nasal therapy

जीवन्तीजलदेवदारुजलदत्वक्सेव्यगोपीहिमं

दार्वीत्वङ्मधुकप्लवागुरुवरीपुण्ड्राह्वबिल्वोत्पलम्

धावन्यौ सुरभिं स्थिरे कृमिहरं पत्रं त्रुटि रेणुकां

किञ्जिल्कं कमलाद्वलां शतगुणे दिव्ये अम्भसि क्वाथयेत्

तैलाद्रसं दशगुणं परिशोष्य तेन तैलं पचेत् सलिलेन दशैव वारान्

पाके क्षिपेच्चदशमे सममाजदुग्धं नस्यं महागुणमुशन्त्यणुतैलमेतत्

1.      Jivanti,

2.    Jala,

3.    Devadaru,

4.    Jalada,

5.    Twak,

6.      Sevya,

7.     Gopi (sariva),

8.      Hima,

9.     Darvi twak,

10.     Madhuka,

11.   Plava,

12.    Agaru,

13.    Shatavari,

14.     Pundrahva,

15.     Bilva, 

16.     Utpala,

17.    the two Dhavani,

18.      surabhi,

19.     the two Sthira,

20.                    Krmihara (Vidanga),

21.   Patram (Cinnamon leaf),

22.                   Truti (Cardamom),

23.                   Renuka,

24.                   Kinjalka,

25.                   Kamala (lotus) and

26.                    Bala-

·      are to be boiled in one hundred parts of rain water / pure water and

·      decoction reduced to one tenth part;

·      to this decoction, equal quantity of sesame oil is added and cooked  for ten times.

·                (the decoction is added to the oil, boiled till water evaporation. Again, equal quantity of decoction is added, evaporated. This process is repeated for 10 times).

·                During the tenth cooking, equal quantity of goats milk (equal to the quantity of oil) is added – and cooking is completed.

·      This oil known as Anutaila, used as nasal drops, bestows great benefits.

NASYA PHALA-  BENEFITS OF NASYA TREATMENT – 

घनोन्नतप्रसन्नत्वक्स्कन्धग्रीवास्यवक्षसः

दृढेन्द्रियास्तपलिता भवेर्युनस्यशीलिनः

1.   The skin, shoulders, neck face and chest become thick, well developed and bright;

2.  The body parts and the sense organs become strong

3.  disappearance of grey hairs will be obtained by persons who becomes habituated to nasal medication.